Men's perspectives on the impact of female-directed cash transfers on gender relations: Findings from the HPTN 068 qualitative study.
Men's perspectives on the impact of female-directed cash transfers on gender relations: Findings from the HPTN 068 qualitative study.
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DOI：
10.1371/journal.pone.0207654
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
MacPhail C
中科院分区：
文献类型：
--
作者：
Khoza MN;Delany-Moretlwe S;Scorgie F;Hove J;Selin A;Imrie J;Twine R;Kahn K;Pettifor A;MacPhail C
在东部和南部非洲，艾滋病毒是一种固有的性别疾病，不仅因为感染艾滋病毒的女性多于男性，还因为社会构建的性别规范增加了女性感染艾滋病毒的风险。在这种情况下，仅向年轻妇女提供现金转移给现有的复杂社会关系增添了另一个层面，在这些社会关系中，父权价值观根深蒂固，性别不平等成为常态，针对妇女和女童的暴力行为普遍存在。这引起了人们的担忧，即年轻女性与男性伴侣的关系变得复杂，甚至可能导致她们遭受更多暴力。在南非年轻女性的一项试验中，我们试图了解现金转移如何影响社会关系，我们使用试验期间收集的定性数据来探讨男性对现金转移对男女关系（亲密关系、柏拉图式关系、同伴关系）影响的看法。 2012 年 4 月至 2015 年 8 月期间，我们对 13-20 岁年轻女性的男性同龄人和亲密伴侣进行了焦点小组讨论（n = 12）和访谈（n = 20），这些女性正在南非普马兰加参加一项 CT 预防艾滋病毒的 III 期随机对照试验。使用主题内容分析方法来分析数据。该密码本是在主题指南的基础上开发的，并在从数据中出现时归纳添加了其他代码。与男性同龄人相比，亲密伴侣年龄更大（范围 20-32 岁）并且更有可能工作。亲密伴侣和男性同伴都支持针对年轻女性的 CT 试验；然而，年轻的同龄人表示担心金钱可能会削弱他们在人际关系中的权力和地位。与试验相关的艾滋病毒检测要求似乎改善了亲密关系中关于性和艾滋病毒的沟通，一些女性甚至鼓励她们的伴侣进行艾滋病毒检测。 CT 为 AGYW 提供了一定程度的自主权和权力，以在其性别关系中做出贡献，尽管方式有限。然而，如果 AGYW 收到的现金等于或高于男性同行或性伴侣赚取的收入，那么 CT 就有可能对男女关系产生负面影响。
HIV is an inherently gendered disease in eastern and southern Africa, not only because more women than men are infected, but also because socially constructed gender norms work to increase women’s HIV-infection risk. The provision of cash transfers to young women alone in such a context adds another dimension to already existing complex social relations where patriarchal values are entrenched, gender inequality is the norm, and violence against women and girls is pervasive. It raises concerns about complicating young women’s relationships with their male partners or possibly even setting them up for more violence. In our attempt to understand how cash transfers influence social relations in the context of a trial among young women in South Africa, we used qualitative data collected during the trial to explore men’s perceptions of the impact of cash transfers on male-female relationships, both intimate and platonic, peer relationships. Between April 2012 and August 2015, we conducted focus group discussions (n = 12) and interviews (n = 20) with the male peers and intimate partners of young women aged 13–20 years, who were participating in a phase III randomised controlled trial of CTs for HIV prevention in Mpumalanga, South Africa. A thematic content analysis approach was used to analyse the data. The codebook was developed on the basis of the topic guides, with additional codes added inductively as they emerged from the data. Intimate partners were older (range 20–32 years) and more likely to be working than the male peers. Both intimate partners and male peers were supportive of the CT trial targeting young women; younger peers however expressed some concerns that the money might diminish their power and status in relationships. HIV testing requirements associated with the trial appeared to have improved communication about sex and HIV in intimate relationships, with some women even encouraging their partners to go for an HIV test. CTs provide AGYW with a measure of autonomy and power to contribute in their gendered relationships, albeit in limited ways. However, there is potential for CTs to have a negative impact on male-female relationships if the cash received by AGYW is equal to or greater than the income earned by their male counterparts or sexual partners.
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影响因子：
34.3
作者：
Pettifor, Audrey;MacPhail, Catherine;Kahn, Kathleen
通讯作者：
Kahn, Kathleen
影响因子：
168.9
作者：
Baird, Sarah J.;Garfein, Richard S.;Oezler, Berk
通讯作者：
Oezler, Berk
影响因子：
6
作者：
Heise, Lori;Lutz, Brian;Watts, Charlotte
通讯作者：
Watts, Charlotte
影响因子：
4.5
作者：
MacPhail, Catherine;Khoza, Nomhle;Pettifor, Audrey
通讯作者：
Pettifor, Audrey
影响因子：
7.7
作者：
Kahn K;Collinson MA;Gómez-Olivé FX;Mokoena O;Twine R;Mee P;Afolabi SA;Clark BD;Kabudula CW;Khosa A;Khoza S;Shabangu MG;Silaule B;Tibane JB;Wagner RG;Garenne ML;Clark SJ;Tollman SM
通讯作者：
Tollman SM